Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KONRAD EDWARD SURDEL DO
NPI 1205455003
Psychiatry & Neurology - Psychiatry in Groton, CT

Active since April 11, 2020PECOS Enrolled

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, Jul 16, 2024, Aug 5, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Konrad Edward Surdel Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KONRAD EDWARD SURDEL DO (NPI 1205455003) is an individual psychiatry provider in Groton, Connecticut, licensed in Virginia (0102206848) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205455003
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KONRAD EDWARD SURDELCredential: DO
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324
Sole ProprietorYes
Enumeration DateApril 11, 2020
Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1205455003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in VA · 0102206848
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 WAHOO AVE, Groton, CT 06349

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Konrad Edward Surdel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06349 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Konrad Surdel's NPI number?

The NPI number for Konrad Surdel is 1205455003. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Konrad Surdel located?

Konrad Surdel practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (401) 841-4475.

What is Konrad Surdel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Konrad Surdel enrolled in Medicare?

Yes. Konrad Surdel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Konrad Surdel was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.